Morgaonkar Vallaree Anant, Shah Binoy Viresh, Nimbalkar Somashekhar Marutirao, Phatak Ajay Gajanan, Patel Dipen Vasudev, Nimbalkar Archana Somashekhar
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Gujarat, India.
Central Research Services, Charutar Arogya Mandal, Karamsad, Gujarat, India.
BMJ Paediatr Open. 2017 Dec 22;1(1):e000148. doi: 10.1136/bmjpo-2017-000148. eCollection 2017.
Inserting, monitoring and maintaining intravenous access are essential components of nursing. We evaluated simulation training on a manikin to improve cannulation skills.
Nursing staff managing paediatric patients were asked to cannulate NITA Newborn-1800 manikin before and after appropriate training. Skills were assessed by a single assessor using an objective structured clinical examination (OSCE) checklist. Four steps were identified as critical. A score of 8/10 (80%) was considered satisfactory. Knowledge was assessed by 10 questions. A training module consisting of theoretical aspects, PowerPoint presentations, videos and hands on training over a manikin was conducted. Post-training assessment was done 1 week later.
Seventy-five (80.6%) nurses who completed preassessments and postassessments were assessed for paired comparisons of knowledge and skill. The majority of the nurses were females, had contractual appointment, were in their early career phase and from the paediatric wards. The mean (SD) post-training knowledge score was greater vis-a-vis pretraining score (7.52 (1.58) vs 5.32 (1.57), P<0.001). A similar result was observed for total OSCE scores (9.22 (0.66) vs 7.91 (1.11), P<0.001). Significantly higher proportion of participants exhibited intravenous cannulation satisfactorily after the training vis-a-vis pretraining assessment (69 (92%) vs 36 (48%), P<0.001).
Training using manikin showed improvement in post-training score of intravenous cannulation skill of paediatric nurses; however, this finding needs further confirmation by a randomised control trial, as our study does not have a control group.
静脉通路的建立、监测与维护是护理工作的重要组成部分。我们评估了在人体模型上进行模拟训练对提高静脉穿刺技能的效果。
要求负责儿科患者护理的工作人员在接受适当培训前后，对NITA新生儿-1800人体模型进行静脉穿刺。由一名评估者使用客观结构化临床考试（OSCE）清单对技能进行评估。确定了四个关键步骤。得分为8/10（80%）被认为是满意的。通过10个问题评估知识水平。开展了一个培训模块，内容包括理论知识、PowerPoint演示文稿、视频以及在人体模型上的实践培训。1周后进行培训后评估。
对75名（80.6%）完成预评估和后评估的护士进行了知识和技能的配对比较。大多数护士为女性，合同制聘用，处于职业生涯早期，来自儿科病房。培训后的平均（标准差）知识得分相对于培训前得分更高（7.52（1.58）对5.32（1.57），P<0.001）。OSCE总得分也有类似结果（9.22（0.66）对7.91（1.11），P<0.001）。与培训前评估相比，培训后表现出满意静脉穿刺的参与者比例显著更高（69名（92%）对36名（48%），P<0.001）。
使用人体模型进行培训显示儿科护士静脉穿刺技能的培训后得分有所提高；然而，由于我们的研究没有对照组，这一发现需要通过随机对照试验进一步证实。
